Application for 1915(c) HCBS Waiver: Draft MA.009.01.01 -Jul 01 ...
Application for 1915(c) HCBS Waiver: Draft MA.009.01.01 -Jul 01, 2015 Page 38
of 239 5 Page 38 of 239. Specify: iv. Amounts for incurred medical or remedial
care expenses not subject to payment by a third party,. specified in 42 §CFR
435.726: a. Health insurance premiums, deductibles and co-insurance charges.
b.